BAZGHA SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

BAZGHA

Last Name

SIDDIQUI

Business Name

BAZGHA SIDDIQUI MD

Original Issue Date

04/21/2011

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023